Search › Indiana › 103K00000X
Jaclyn Humphrey, MA, BCBA
NPI 1659855849 · on the registry since 2018
Practice
- Address
- 1501 W Tapp Rd
Bloomington, IN 47403 - Phone
- (812) 330-4460
- Fax
- (812) 330-4461
- Clinicians at this address
- 62
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 103K00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-02-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana